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Full text of "Navy and Marine Corps Medical News March 2009"

NAVY MEDICINE 

World Class Care. ., Anytime, Ajiywhere 



Issue 3 
March 11, 2009 

Inside this Issue: 



Admiral's Call by the Surgeon 
General of the U.S. Navy 
Vice Admiral Adam. M. 



NMCSD Relieves the Emotional 
Damages From Societal Emphasis 
on Physical Appearance with 
Maxillofacial 



Naval Hospital Springs Forward 
Ahead of DST With Opening of 
Expanded Sleep Laboratory 



Emergency Care in the Air 



Three PREVMED Units Form One 5 
Forward Deployable Unit fl 



NMCSD Restores Aesthetics to 
Injured Service Members 



The Social Worker - A Vital 7 

Member of the Navy Medicine 
Team 




NMSC Hosts Vanguard 2009 
Symposium 



Item of Interest: 



HHS Launches New Health Reform 
Web Site. The Department of Health 
and Human Services (HHS) launched a 
new web site: www.healthreform.gov. 
This site will allow Americans to view 
the White House Health Forum, share 
their thoughts about health reform with 
the Obama Administration and sign a 
statement in support of President 
Obama' s commitment to enacting com- 
prehensive health reform this year. 



8 



Navy and Marine 
Corps Medical News 

A Public Affairs Publication of the Bureau of Medicine and Surgery 

Pensacola Corpsman Named Top NM 
Senior Shore Sailor 



From Naval Hospital Pensacola, Fla. 
Public Affairs Office 

PENSACOLA, Fla. - Hospital 
Corpsman 1st Class Petty Officer 
(HMD Kelvin Chatman of Naval 
Hospital (NH) Pensacola was re- 
cently nanned Navy Medicine Senior 
Shore Sailor of the Year (SSOY) for 
2008 during a February 4 ceremony 
at the Navy's Bureau of Medicine 
and Surgery in Washington, DC. 

The 2008 year was a whirlwind 
of positives for Chatman having 
been named Navy Medicine East, 
Naval Hospital (NH) Pensacola Re- 
gional and NH Pensacola staff Sen- 
ior Sailor of the Year; and Sailor of 
the Quarter at the Florida hospital 
in the fourth quarter. 

Chatman is assigned as Leading 
Petty Officer of the hospital's 
Women and Children's Nursing De- 
partment. He has served in the 
Navy for 15 years. 



His most recent deployment was 
to Guantanamo Bay, Cuba, in sup- 
port of Operation Enduring Freedom 
in 2006. 

Rear Adm. Thomas Cullison, 
Deputy Surgeon General of the 
Navy, and Force Master Chief Laura 
Martinez of Navy Medicine, Bureau 
of Medicine and Surgery in Wash- 
ington , congratulated Chatman dur- 
ing the early February ceremony 
that included Navy Medicine's four 
other SSOY nominees. 

The nominees for NH Pensacola 
Regional SOY honors are selected 
from the staff of the hospital and all 
12 of its Branch Health Clinics 
across the five states of Florida, 
Indiana, Louisiana, Mississippi, and 
Tennessee. 

NH Pensacola has been an inno- 
vator in Navy Medicine and in the 
Navy Pensacola community for 
more than 180 years. 




SAN DIEGO - Cmdr. Craig Salt, department head of plastic surgery at Naval Medical Center 
San Diego, examines the nasal cavity of Lance Cpl. Anthony Guererro during a pre-operation 
examination Feb. 17. Salt is spearheading Project Comprehensive Aesthetic Recovery Effort 
(Project C.A.R.E.) to improve aesthetic appearance of combat injuries. U.S. Navy photo by 
Mass Communication Specialist 3rd Class Jake Berenguer 



TssueT 
March 11 



Page 2 



Admiral's Call by the Surgeon General of the U.S. Navy 
Vice Admiral Adam. M. Robinson, Jr. 

Navy Medicine's Humanitarian Civil 
Assistance Mission 



Navy Medicine's humanitarian 
civil assistance (HCA) missions offer 
a positive vision of hope and oppor- 
tunity rooted in our history and in 
the promise of our future. HCA 
missions reflect our belief in the 
worth, dignity, equality and value of 
every person in the world. 

Humanitarian and disaster relief 
missions are core Navy missions 
reflected in our Nation's maritime 
strategy, in which Navy Medicine 
plays a vital role. Navy Medicine is 
not only willing and able to partici- 
pate in these missions, we do so 
enthusiastically. Our healing hands 
symbolize soft power, which forges 
stronger relationships with other 
nations and lessens the chances of 
armed conflict. These missions en- 
hance the protection of our home- 
land and way of life. There is no 
greater testament of our nation's 
spirit of compassion than the de- 
ployment of the USNS COMFORT 
and USNS MERCY to provide hu- 
manitarian assistance and disaster 
relief. 

Navy Medicine has been at the 
forefront in providing this strategi- 
cally important humanitarian aid. 
In 2004, the value of our humani- 
tarian assistance missions received 
global recognition following the tsu- 
nami that struck Southeast Asia. 
As a result, people in a major Mus- 
lim nation expressed increased sup- 
port and appreciation for the U.S.- 
led effort to provide comfort and 
care in the face of a major natural 
disaster. 

Our relief efforts also had an 
impact right here at home. During 
Hurricane Katrina in 2005, Navy 
Medicine played a major role in 
helping the people of that region 
get back on their feet. After 
Katrina devastated the Gulf Coast, 
the National Command Authority 
deployed both the USS BATAAN 
(LHD 5) and USNS COMFORT (T-AH 
20) for medical and humanitarian 



relief activities across the region. A 
team of 84 medical professionals 
based out of Naval Hospital Jack- 
sonville, Fla., on board the BATAAN 
provided medical support at the 
New Orleans Convention Center, 
the New Orleans International Air- 
port, and at a high school in Biloxi, 
Miss. COMFORT staff provided 
health services to almost 2,000 
hurricane victims, with assistance 
from health care professionals 
working with Project Hope, Salva- 
tion Army and the American Red 
Cross who were embarked onboard. 

During Pacific Partnership 2007, 
USS PELELIU (LHA-5) conducted a 
four-month humanitarian mission, 
visiting the Philippines, Vietnam, 
Solomon Islands, Papua New 
Guinea and the Republic of the Mar- 
shall Islands. During these HCA 
missions, PELELIU provided a vari- 
ety of medical, dental, educational 
and preventive medicine services to 
more than 31,600 patients. 

COMFORT deployed again in 
2007 on its first large-scale HCA 
deployment to Central America, 
South America and the Caribbean. 
The hospital ship staff provided 
medical care to an estimated 
85,000 patients from communities 
with limited health care access. 

While underway to Latin Amer- 
ica during Continuing Promise 2008 
(CP08), Biomedical Repair Techni- 
cians (BMT) cof Fleet Surgical Team 
Five (FST 5), embarked aboard USS 
BOXER (LHD 4), collected manuals 
and information to share with part- 
ner-nation technicians. In addition 
to medical equipment repairs on- 
board BOXER, BMTs also exchanged 
ideas with partner- nation medical 
professionals about specific equip- 
ment maintenance. 

These FST 5 technicians were 
part of a large medical component 
leading an expeditionary medical 
team of over 100 specialized health 
care providers, who teamed up with 




partner- nation counterparts. Their 
capabilities included general pri- 
mary care, dental, optometry, 
pharmaceutical, preventive medi- 
cine and public heath assessments, 
medical and nursing education, vet- 
erinary, and bio-medical equipment 
repair. 

USS KEARSARGE's (LHD 3) 
joint-military service medical team 
provided remote medical care and 
education to the locals in a medical 
clinic during a four-day visit to Yulu, 
Nicaragua as part of CP08. The 
lack of readily available medical 
care in the rural community is the 
root cause of many of the chronic 
illnesses in places like Yulu. This 
HCA mission brought volunteers to 
the next stage of empowering citi- 
zens of Yulu to live healthier lives, 
through education about nutrition, 
diet and exercise. 

During Summer 2008, Military 
Sealift Command hospital ship 
USNS MERCY participated in Pacific 
Partnership (PP08), a four-month 
humanitarian and civic assistance 
mission conducted with countries 
from the Western Pacific and 
Southeast Asia. 

Throughout the 2008 Pacific 
Partnership mission, Mercy served 
as a platform for military and non- 
governmental organizations to build 
and cultivate relationships with the 



(Continued on page 4) 



pssueT 
March 11. 



NMCSD Relieves the Emotional Damages From Societal 
Emphasis on Physical Appearance with Maxillofacial 
Prosthetics 



Pages 



By Mass Communication Specialist 
3rd Class Jake Berenguer, Naval 
Medical Center San Diego Public 
Affairs Office 



SAN Dl EGO - Prosthetic eyes, 
noses, and rebuilt sl<ulls are not 
often associated with dentistry. 
However, Naval Medical Center San 
Diego (NMCSD) dental technicians 
restore birth or acquired disfigura- 
tions of the head and neck region 
through maxillofacial prosthetic ser- 
vices. 

The nnaxillofacial prosthetitians 
restore a sense of normalcy to a 
patient who has lost an eye, ear or 
nose by recreating a custom pros- 
thetic to hide the damaged area 
using a wide variety of materials 
such as acrylic, porcelain, and sili- 
cone. The Navy only has 11 pros- 
thedontists worldwide. NMCSD's 
Dental Department boasts two of 
them. 

"It's a very special and unique 
thing we do here. Because we are 
in the dental field, we have experi- 
ence creating prosthetic pieces such 
as teeth. The prosthetics we create 
in the maxillofacial clinic are far 
more complex," said Lt. Cmdr. Todd 
Carpenter, a NMCSD maxillofacial 



prosthedontist. 

"We are trained at Bethesda 
Naval Medical Center in Maryland. 
It was really on-the-job training in 
a class setting," said Hospital 
Corpsman 2nd Class Frank Lemus, 
NMCSD maxillofacial prosthetics 
laboratory technician. "We learned 
how to work with all the different 
materials and how to make the 
prosthetics. Then we started mak- 
ing them for actual patients. We 
were previously trained to make 
teeth and ocular pieces made from 
similar materials. We learned how 
to match eye colors and hand paint 
irises to precisely match their eye 
color." 

The technicians create ear, eye, 
tooth, and other maxillofacial pros- 
thetics using molds, photos, and 
precise measurements to replicate 
the patient's skin tone, texture, or 
eye color. These efforts are all done 
to improve a patient's quality of life 
and self image, according to Lemus. 

"Patients often are very self 
conscious about a facial deformity. 
People notice your face first and 



(Continued on page 5) 




SAN Dl EGO - Hospital Corpsman 2nd 
Class Daniel Cortez, a Naval Medical Center 
San Diego (NMCSD) maxillofacial prosthet- 
ics laboratory technician, forms a wax a 
frame around a prosthetic eye before creat- 
ing a silicone frame to hold the eye in the 
socket Feb. 3 in NMCSD's maxillofacial 
prosthetic center. U.S. Navy photo by Mass 
Communication Specialist 3rd Class Jake 
Berenguer 



Naval Hospital Springs Forward Ahead of DST With Opening 
of Expanded Sleep Laboratory 



From Naval Hospital Pensacola Public Affairs Office 

PENSACOLA, Fla. - If you're preparing to loose an 
hour's sleep by springing forward with the return of 
Daylight Saving Time early morning Sunday, March 8, 
then you might want to get a head start during "Sleep 
Awareness Week". 

Naval Hospital (NH) Pensacola got the 'sleep aware- 
ness' started early in the week, when Commanding 
Officer Captain Maryalice Morro and the Veterans Af- 
fairs-Gulf Coast's Chief of Staff Anna Mello officially cut 
the ribbon on the opening of the military facility's ex- 
panded-beds Sleep Studies Laboratory March 2. 

NH Pensacola has had a sleep lab for years, but it 
recently underwent renovation and expansion thanks to 
a J oint I ncentive Fund (J I F) proposal that was co- 
approved by the Department of Veteran Affairs (VA) 



and the Department of Defense (DoD) Health Executive 
Council (HEC). 

"Previously, the sleep lab had just two beds. We now 
have six, and we can do four to five sleep studies per 
night," said Cmdr. Edwin Y. Park, head of the Neurology 
and Sleep Disorders Department at the Pensacola hospital. 

The expansion of the sleep lab has made it possible for 
more of patients to get needed sleep studies at the Navy 
hospital as opposed to going out into the TRICARE network 
of civilian providers; and that has numerous benefits, he 
said. 

"That means we can service more of our patients in- 
house, and that saves large amounts of money through 
cost-savings by not having to send patients out to the net- 



( Continued on page 5) 



ITssueT 
March 11 



Page 4 



Emergency Care in the Air 



Byjacky Fisher, Naval Medical Cen- 
ter Portsmouth Public Affairs Office 



PORTSMOUTH, Va. - An emer- 
gency roonn (ER) can beconne ex- 
tremely hectic, noisy and even 
nerve- racl<ing with one swing of the 
ER door. A hospital corpsman 
monitors a patient's vital signs; a 
critical care nurse administers 
drugs or clears the airway of an 
injured or unconscious patient. 
These tasks require a steady hand, 
sure footing, clear thinking, and the 
ability to work together as a team... 
all to save the life of someone who 
needs urgent medical attention. 

In a contingency mission, 
nurses and corpsmen may have to 
perform these lifesaving tasks in a 
helicopter. Imagine deafening rotor 
noise and vibrations so strong that 
an IV line can easily dislocate from 
a patient. It's not a place for on- 
the-job training. 

The En Route Care Training 



course teaches specialized health 
care providers how to perform vital 
tasks under extraordinary high- 
pressure circumstances. The 
course, held at Naval Station Nor- 
folk in September 2008, is required 
for members slated to forward de- 
ploy in support of contingency mis- 
sions. For the first time it included 
members from the 4th Medical Bat- 
talion, 4th Marine Air Wing and Re- 
servists. 

"This cooperative effort pro- 
motes a seamless active and Re- 
serve program. Students and in- 
structors were either active duty or 
from the Reserves side of the 
house," said Capt. Paula Crawford, 
Executive Officer, Operational 
Health Support Unit Portsmouth. 

En Route training begins with an 
intensive day in the classroom with 
participants reviewing "back to the 
basics" of how to keep a patient 
alive. Lt. Cmdr. Anthony Catanese, 
Director for Operations, Naval Op- 




NAVAL STATI ON NORFOLK Nurses and 
corpsmen of the 4th Medical Battalion and 
4th Marine Air Wing practicing static loading 
of patients into helo. U.S. Navy photo by 
Cmdr. Anita Bacher 



erational Medicine Institute, train- 
ing agent for En Route Care, ex- 
plained that the course really is not 
basic. 

"En Route Training is designed 

(Continued on page 6) 



Surgeon General's column continued... 



(Continued on page 2) 

Republic of the Philippines, Vietnam, the Federated 
States of Micronesia, Timor-Leste and Papua New 
Guinea. 

During PP08, more than 90,000 patients were 
treated by the medical teams from MERCY. Among those 
treated were more than 14,000 dental patients and 
more than 1,300 surgery patients in various locations 
throughout the Western Pacific. 

Our humanitarian civic assistance efforts continue in 
2009, with three missions already planned. Early in the 
year. Navy Medicine Reservists will participate in four 
medical readiness training exercises (MEDRETEs) in Ja- 
maica, Honduras, Dominican Republic, and Guyana. 
These two week deployments will provide primary care 
at remote locations in conjunction with the Ministry of 
Health of each host nation. 

COMFORT deploys in April for Continued Promise 
2009, a 120-day mission to South and Central-America. 
Our personnel onboard COMFORT will provide local host 
nation residents with medical and dental care as a dem- 
onstration of goodwill and support from us, their U.S. 
neighbors. 

USS DUBUQUE (LPD 8) will deploy in May to take 
part in Pacific Partnership 2009. This 125-day mission, 
much like the COMFORT'S mission, will make medical 
and dental care available to residents of the host nation 
countries. 

Navy Medicine humanitarian civil assistance missions 



support regional humanitarian operations by providing 
preventive medicine services, healthcare training and 
other similar efforts while always respecting the host 
country's culture and customs. From our experience, we 
have developed a successful model of healthcare educa- 
tion and training for host country providers, this will lead 
to local sustainable activities that will provide long-lasting 
benefits to help overcome healthcare barriers in resource 
poor communities. 

Each successful mission, performed with joint and 
coalition forces, other US government agencies, non- 
government agencies, and host nations, builds strong, 
lasting partnerships. From the foundation of mutual re- 
spect and understanding grows the best quality health 
care and partnerships. This environment of trust be- 
tween US military services, agencies, and our interna- 
tional partners is the legacy of HCA and helps secure our 
future . 

Building on these relationships will continue to miti- 
gate human suffering as the vanguard of interagency and 
multinational efforts, both in a deliberate, proactive fash- 
ion and in response to crisis. Human suffering moves us 
to act, and the expeditionary character of maritime forces 
uniquely positions us to provide assistance. 

This soft power projection of humanitarian civil assis- 
tance anchors U.S. maritime strategy for years to come. 
Navy Medicine will continue to provide essential personnel 
for these efforts, always flexible and adaptable, and 
wherever needed. This is Force Health Protection in ac- 
tion. This is our desire, our mission, and our duty. 



pssueT 
March 11. 



Pages 



Three PREVMED Units Form One Forward Deployable Unit 



By Lt. Benjamin Espinosa, NEPMU-2 
(Navy Environmental and Preven- 
tive Medicine Unit), Norfollc, Va. 



FORT EUSTI S, Va. - Navy Pre- 
ventive Medicine personnel con- 
verged at Ft. Eustis, Va. in mid 
January to participate in a five-day 
field exercise and technical evalua- 
tion evolution. Selected personnel 
fronn the three Navy Environnnental 
and Preventive Medicine Units 
(NEPMUs), NEPMU-2 (Norfolk, Va.), 
NEPMU-5 (San Diego, Calif.) and 
NEPMU-6, (Pearl Harbor, Hawaii) 
form the Forward Deployable Pre- 
ventive Medicine Unit (FDPMU) 
East- Team 2 that is slated for a 
six-month deployment to Kuwait, 
participated in the exercise. 

Once team members arrived on 
site, they immediately set up tents 
and equipment in preparation for 
the exercise scenarios. This 

NMCSD continued.. 

(Continued from page 3) 



constant double-takes are extremely troubling. People 
are a lot less subtle than they think, and they can de- 
molish someone's self esteem," said Lemus. 

The maxillofacial prostheticians create the pieces by 
placing a silicone compound in a mold of the existing 
ear if possible or with the empty ocular cavity and then 
create a wax version of the prosthetic with molds. After 
a fitting is done and final adjustments are made, they 
can create the patient's finished custom prosthetic 
piece. By going as far as placing microscopic red veins 
in an ocular piece or fixing a cleft pallet helps patients 
regain a sense of normalcy, according to Lemus. 

"With strong attention to every detail of their skin 
tone, texture, or eye color, the prosthetic piece will fit 
the patient and alleviate any of the previous insecurities 
they were experiencing. Our goal is to improve their 
lives. We have gotten so much good feedback from our 

Sleep Lag continued... 

(Continued from page 3) 

work," stated Park. 

The NH Pensacola Sleep Lab is eligible to DoD family 
members and VA- referred patients. The expanded sleep 
lab also comes with an increase in staffing of three con- 
tract sleep technicians hired with J I F funds. 

"We see roughly equal numbers of patients from 
both Navy hospital and VA facilities," he said. 

"I'm happy we're making changes to meet the de- 



marked the first time that all team 
members were able to come to- 
gether before deploying. 

"It's essential that we all learn 
to work well as a team so that eve- 
rything runs smoothly in Kuwait," 
said Lt. Cmdr. Jennifer Espiritu of 
NEPMU-2, Officer-in-Charge of the 
FDPMU. 

Personnel from various com- 
mands came together to run the 
exercise and evaluate the perform- 
ance of FDPMU East- Team 2. 
Evaluators, role players and con- 
trollers came from the Navy and 
Marine Corps Public Health Center, 
NEPMU-2, Army Transportation 
Corps, and Battelle Corporation. 
Their tasks were to facilitate as- 
pects of the exercise that included 
preventive medicine, environmental 
health, industrial health, entomol- 
ogy, and microbiology training sce- 
narios designed to test the capabili- 



ties, organization, crisis manage- 
ment and training of the team. 

I n preparation for the J anuary 
exercise, team members trained at 
their respective home stations to 
employ advanced chemical, biologi- 
cal and radiological test equipment 
not found in any other deployable 
preventive medicine unit. On the 
first day of the exercise, Lt. Cmdr. 
John Zumwalt of NEPMU-5, the 
team's Assistant Officer-in-Charge, 
helped to focus the team members 
on the exercises ahead. "We're no 
longer in the classroom. This is the 
real thing," said Zumwalt. "We 
need to be prepared for anything 
and react as we have been trained 
to." 

FDPMU-2 members integrated 
their training experiences to ad- 



( Continued on page 7) 



patients. It feels great to know that I have helped give a 
person back some of their self esteem," said Lemus. 

Occasionally they receive requests for a custom piece 
such as a sports team logo or a military symbol to be 
placed on their prosthetic eye. 

"We have found that after losing an eye, patients need 
some laughter in their lives, and we are more than happy 
to create a custom piece for them," said Hospital Corps- 
man 2nd Class Daniel Cortes, an NMCSD maxillofacial 
prosthetics laboratory technician. "We get a lot of requests 
for sports team logos to be used in the prosthetic eyes. 
There are a lot of one eyed Charger fans here in San 
Diego. We also recently did a custom Marine Eagle, Globe 
and Anchor eye." 

Working for all branches of service, beneficiaries, and 
retirees, NMCSD's maxillofacial clinic is readily available to 
provide a wide variety of maxillofacial prosthetic services 
and care to any who need it according to Carpenter. 



mand for the increased need of sleep study services, be- 
cause more and more studies are being done on the im- 
portance of proper sleep and its effects on one's overall 
health," Parks concluded. 

To learn more about patient services provided at NH 
Pensacola, visit the command's web site at http:// 
www.med.navy.mil/ sites/ pcola/ Pages/ 
default.aspx. 



IlssueT 
March 11^ 



Page 6 



NMCSD Restores Aesthetics to Injured Service Members 



By Mass Communications Specialist 3rd Class Jake Ber- 
enguer, Naval Medical Center San Diego Public Affairs 

SAN DIEGO -Navy Medicine provides significant 
treatment to injured combatants not only through first 
response in theater, but also through a continuum of 
care starting with the transition back to the United 
States and throughout the recovery process. 

Project Comprehensive Aesthetic Recovery Effort 
(Project C.A.R.E.) is a multi-disciplinary patient care ini- 
tiative to help restore function and appearance of trau- 
matically injured service members. 

"Lack of proper function or the emotional repercus- 
sions of a patient with the scars of a severe injury 
needed to be addressed," said Cmdr. (Dr.) Craig Salt, 
department head of plastic surgery at Naval Medical 
Center San Diego (NMCSD). Salt is spearheading Project 
C.A.R.E. project to improve aesthetic appearance of 
combat injuries to those who have given so much in the 
line of duty. 

"Patients often have a hard time coping with the 
stares of strangers or even looking at their own reflec- 
tion. I decided to be proactive and seek them out to let 
them know what options were available to them. I 
wanted to fix what can be fixed and help them with their 

En Route continued... 



appearance post injury," said Salt. 

Project C.A.R.E. consolidates resources throughout 
NMCSD to address a patient's needs through multiple 
medical disciplines. Utilizing a team approach to medical 
and supportive services, each patient is individually 
evaluated and a comprehensive treatment plan is formu- 
lated. 

"I wanted to work in tandem with anyone who could 
be beneficial to the recovery of the patients. I am seeking 
out contributions of emotional support from chaplains, or 
the talents of dermatologists and neurosurgeons. This 
needs to be a collective effort to restore form, function 
and esteem," said Salt. 

"He has helped me out so much, he is making a huge 
difference in people's lives," said Marine Lance Cpl. An- 
thony Guerrero, one of Salt's patients. Guerrero was in- 
jured in an explosion Sept. 9, 2006 while serving in Iraq 
and received serious facial injuries. 

Salt replaced missing bone in Guerrero's face with an 
artificial structure to fill an indention. Laser surgery re- 
moved the powder burns from the explosion to lessen the 
visibility of the scars. 

(Continued on page 8) 



(Continued from page 4) 

for officers and enlisted - Critical 
Care and Emergency Care nurses 
and corpsmen with either an 8404 
(critical care) or 8401 (search and 
rescue) Navy Enlisted Classification 
(NEC) Code," said Catanese. "They 
are the ones who have the skill sets 
that we build upon." 

Classroom training incorporates 
pharmacology, patient assessment, 
airway maintenance, muscular/ 
skeletal trauma, and treatment of 
hemorrhage. "Some of the class- 
room time included simulation 
training with mannequins, which 
gives the students the opportunity 
for 'hands-on' training and to be 
drilled in their critical thinking 
skills," said Catanese. 

Day two of the course focused 
on practical training, beginning with 
Aviation Water Survival and the 
Helo Dunker. 

Although conducted in a con- 
trolled environment, a swimming 
pool under the watchful eyes of in- 
structors, it's far from a fun day at 
the water park. It is serious lifesav- 
ing training to prepare health care 
providers for Medevac missions 



over water, possibly from the deck 
of an at-sea aircraft carrier. 

"The Helo Dunker is extremely 
important," said Lt. Cmdr. Jeanne 
Lewandowski, a critical care nurse 
at Naval Medical Center Ports- 
mouth. "If you don't have a realistic 
experience of crashing in the water, 
in the event of a real emergency 
you can become disoriented rather 
quickly. That's when lives are un- 
necessarily lost." 

Next up: in-the-air health care 
training. The classroom moves to 
inside a Marine CH-46 helicopter. 

Cmdr. Lynn O'Malley, a Reserv- 
ist working at Sewells Point Branch 
Health Clinic as a Family Nurse 
Practitioner, found the training in- 
valuable. "You don't have the latest 
medical technology in the air like an 
Intensive Care Unit (ICU)," said 
O'Malley. "So the team in the air 
needs the knowledge to make as- 
sessments, be able to administer 
drugs and possess skill sets to 
maintain an airway." 

Lewandowski breaks down the 
challenges even further. "You can't 
use a stethoscope in a helo; you 
have to rely on sight and touch to 
keep a patient alive. Even if you 



have equipment in the air, it can 
fail and there's no time to wait until 
you land to correct the situation." 

O'Malley will be recalled to ac- 
tive duty and will stand in ranks 
with other active duty members 
who could forward deploy. As a 
Reservist, the odds are greater now 
than before that she could be put- 
ting her boots in sand, mud or any- 
where there is a contingency opera- 
tion. 

The tactical and strategic impor- 
tance of this training for active duty 
and Reserves cannot be overem- 
phasized, according to Crawford. 

"Over the last few years the role 
of Reservist has changed," ex- 
plained Crawford. "They are not 
used exclusively to backfill gapped 
billets created by a surge of active 
duty forward deploying. 

"This training highlights the ver- 
satility of Reservists," she added. 

"This program works," said Ca- 
tanese. "The percentage of success 
in theatre when the wounded war- 
rior is packaged up is as high in the 
'90- percent of being able to survive 
now. It works. The equipment and 
training keep getting better." 



TssueT 
March 1] 



Page? 



The Social Worker - A Vital Member of the Navy Medicine 
Team 



By Christine A. Mahoney, Bureau of Medicine and Surgery 
Public Affairs 

WASHI NGTON - When you ask a Sailor or Marine to 
name the frontline caregivers of Navy Medicine, he or she 
will probably nnention hospital corpsnnen, chaplains, 
nurses, dentists, and doctors. There is one Navy Medi- 
cine caregiver that may not come to mind (at first) who 
also plays a vital role the health and well being of service 
members and their families, and our Reservists - the 
Navy Medicine Social Worker. 

"The National Association of Social Workers (NASW) 
has designation March as Social Work Month. Navy Medi- 
cine wants to recognize and thank our social workers for 
their dedication and service as vital contributors to the 
mission," said Lt. Joseph Ford, Bureau of Medicine and 
Surgery (BUMED) MSC, Senior Analyst, Clinical Social 
Worker. 

"People who become social workers, are those who 
are driven by a strong desire to enhance a person's func- 
tioning and improve their quality of life. Social workers 
assist people by helping them cope with issues that are 
strongly affect their daily lives," said Ford. "For example, 
if a Sailor or Marine is having trouble adjusting to home 
life after being deployed for a long period time, we can 
help with this transition. Not only will we be there to help 
the service member, but for the family as well." 

What does the job of a social worker entail? Ford 
stated many social workers specialize in serving a par- 
ticular population or working in a specific setting. Some 
social workers help clients who face a disability or a life- 
threatening disease, others serve those with direct social 

PREVIVIED continued... 



concerns, such as inadequate access to health care, 
education or housing, those who are disenfranchised, 
the unemployed, or those who abuse substances. Social 
workers also assist families having serious domestic is- 
sues, such as domestic violence, child abuse, financial 
hard-ship, and marital or family cohesion. Other social 
workers focus on research, advocate for improved ser- 
vices, or are involved in planning or policy development. 

He continued, "The social worker career field is not 
as limited as it maybe perceived. When people hear the 
words 'social worker', they automatically think of child 
welfare assistance. This is only one career field social 
workers can choose to practice," he said. "Social work- 
ers can also be found working in providing clinical psy- 
chotherapeutic care in agency or private practice, case 
management, family advocacy and support, crisis man- 
agement, teaching in major universities, research, and 
serving in policy development and implementation at 
most every level of government. They can be found in 
our hospitals and clinics. Fleet and Family Support Ser- 
vice centers. Marine Corps Counseling Centers, and ful- 
filling various deployment requirements in the Middle 
East." 

Social workers have been a part of Navy Medicine 
since 1984. There are approximately 1,170 social work- 
ers serving in Navy Medicine, 22 of which are active 
duty, 4 reservists, 750 civilian, and 400 contractors. 

As within the civilian sector, all Navy Medicine social 
workers must meet and adhere to educational and li- 



( Continued on page 8) 



(Continued from page 5) 

dress a burn pit air quality scenario, 
a simulated chemical release, 
tested water samples for toxins and 
contaminants, performed industrial 
and environmental health site as- 
sessments, and responded to a no- 
tional bio-warfare attack, an avian 
influenza outbreak, and a louse- 
borne typhus outbreak. 

"This exercise requires that we 
assess each situation as it unfolds 
and prioritize and coordinate our 
responses so that we keep our own 
people and the troops safe," said 
Hospital Corpsman 1st Class Joshua 
Wagoner, NEPMU-5. "There's really 
no better way to do that than in a 
real-time, high-stress environment 
like this." 

FDPMU-2 is deploying to Expedi- 



tionary Medical Facility Kuwait in 
support of Operation Iraqi Freedom 
and Operation Enduring Freedom 
this month. The team is deploying 
to meet the requirements of the in- 
garrison Preventive Medicine mis- 
sion as well as supporting other in- 
theater taskers from Naval Forces 
Central Command (NAVCENT). 

"We bring a multitude of skills 
to the fight in order to protect our 
warfighters as they operate 
throughout the U.S. Central Com- 
mand (CENTCOM) Area of Respon- 
sibility supporting the U.S. mis- 
sion," explains Espiritu. "It is ex- 
traordinarily fulfilling to see people 
from three different commands, 
with different backgrounds and skill 
sets, come together as a team. I 
look forward, not only to doing our 
job, but also to continue developing 
the team as Naval professionals." 




FORT EUSTIS, Va. - Hospital Corpsman 2"^ 
Class Anacleto Delagarza, Navy Environ- 
mental and Preventive Medicine- 2 (NEPMU- 
2), prepares malaria blood slides as part of 
an outbreak scenario designed to test micro- 
biology capabilities in the field. Rapid, on- 
site identification of diseases is a key capa- 
bility of Forward Deployable Preventive 
Medicine Unit (FDPMU) East - Team 2 and is 
a critical aid in treatment. U.S. Navy photo 
by Lt. Benjamin Espinosa 




Pages 



NMSC Hosts Vanguard 2009 Symposium 



By Mass Communications Specialist 
V^ Class (SW) Arthur N. De La Cruz, 
Navy Medicine Support Command 
Public Affairs Office 



JACKSONVILLE, Fla. - Sixty 
representatives from 29 Navy and 
Marine Corps connnnands through- 
out Navy Medicine attended the 
Vanguard 2009 Symposium hosted 
by Navy Medicine Support Com- 
mand (NMSC) and held at Naval Air 
Station Jacksonville Feb. 10-12. 

The symposium mission was to 
identify and prioritize Naval Medi- 
cine capability gaps, requirements 
and emergent needs for next gen- 
eration Force Health Protection and 
Expeditionary Medicine, as well as 
provide validated capability gaps for 
high-level investment strategy in 
support of the Bureau of Medicine 
and Surgery's (BUMED) strategic 
goals and research for operational 
readiness, military health care and 
health promotion. 

"Vanguard is a look at the future 
capabilities the Navy and Marine 
Corps team is going to need to 
make the mission requirements of 

NMCSD continued... 

(Continued from page 6) 



"After the blast, I didn't look like myself. Since be- 
ginning the surgical reconstruction, I feel so much better 
about myself. I can definitely see a huge improvement 
and look more like I used to," said Guerrero. 

Salt hopes Project C.A.R.E. will continue to grow 
through proper promotion and coordination efforts 

Social Worker continued... 



the future," said Rear Adm. Richard 
Jeffries, Medical Officer of the Ma- 
rine Corps. "And behind that is, 
'What is the research that we need 
to start now to get the answers for 
that?'" 

Jeffries was a symposium guest 
speaker. 

Dr. Keith Prusaczyk, Ph.D., is 
one who will use what he learns at 
Vanguard to help Jeffries and Navy 
Medicine determine what the re- 
search community can bring for- 
ward. Prusaczyk is the Navy Medi- 
cal Advance Development Program 
Director with the Naval Medical Re- 
search Center (NMRC) in Silver 
Spring, Md. He is also a strategic 
adviser and working group repre- 
sentative for Rear Adm. Richard C. 
Vinci, NMSC Commander, for the 
acquisition of Force Health Protec- 
tion and Future Naval Capabilities. 
NMSC has oversight of NMRC and 
Navy Medicine's Research and De- 
velopment Program. 

"The outcomes we anticipate 
are a set of initial capabilities that 
allow us to define war fighting 
gaps," said Prusaczyk, who man- 



ages the advanced development of 
the Surgeon General's Research 
Development Testing and Evalua- 
tion. "This symposium allows us to 
prioritize our investments. Right 
now we have a portfolio that ad- 
dresses both battle field medicine 
and clinical medical treatment facil- 
ity medicine. What we have to do 
with limited resources is balance 
that portfolio to meet war fighter 
needs. 

He continued, "This will allow us 
to focus our limited resources for 
medical research and development 
to deliver products, training and 
education that will enhance the ca- 
pabilities of (in particular) our 
corpsmen in particular. That's been 
my focus: Fleet Marine." 

Jeffries added the symposium 
mission was based on the 21^^ Cen- 
tury Maritime strategy, the national 
strategy, the Commandant of the 
Marine Corps' 2025 vision and 
strategy, the Chief of Naval Opera- 
tions' (CNO) future priorities and 
goals, and the Naval Operations 
Capability coming out. 



throughout the military branches. 

"Project C.A.R.E. will do so much more than what was 
considered the end of a patient's treatment. We have 
helped a small handful of patients so far and after pitch- 
ing the idea to several other military hospitals, the poten- 
tial for growth is immense. We want to help each service 
member identify their needs and work as a team to re- 
store their form, function and self image," said Salt. 



•d 



NAVY MEDICINE 

World Class Care, . .Anytime, Anywhere 



bureau of Medicine and Sun 

2300 E Street NW 
Washington, DC 20372-5300 

Public Affairs Office 

Phone: 202-762-3221 

Fax: 202-762-1705 




(Continued from page 7) 

censing requirements in order to 
perform their services. "All of our 
social workers are Masters pre- 
pared, licensed mental health pro- 
fessionals," said Ford. Navy Medi- 
cine social workers work in diverse 
environments and locations 
throughout the world. Most of our 
civilian staff provides support in the 
Military Treatment Facilities and at 
Fleet Family Service Centers. Our 



active duty and reserve social work- 
ers have deployed to Kuwait, Iraq, 
Afghanistan, and Landstuhl to sup- 
port the mission as well." 

To highlight their currents ef- 
forts and work. Ford's office is 
working on events to promote the 
work of Navy Medicine Social Work- 
ers. One of the events will have 
BUMED host a social worker 
speaker series. Event information, 
once finalized, will be included in 
the command's plan of the week. 



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